Vertical Trapezius Myocutaneous Flap for Post Electrical Burn Defect of the Scapular Region - A Case Report

Reconstruction of soft tissue defects around the posterior upper trunk and cervico-thoracic spinal regions is a difficult problem to the reconstructive surgeon. The trapezius muscle and myocutaneous flap is a versatile flap allowing for reconstruction of multiple head and neck surgical defects. The trapezius flap is harvested based on the dorsal scapular artery or on the superficial cervical artery based on the orientation of the flap desired and the length of pedicle necessary. Variations in the vascular anatomy of the trapezius muscle flap are uncommon, but when present, such variations appear to have little impact on harvesting the flap or on its circulation. The use of the trapezius myocutaneous flap is safe and well tolerated option for the reconstruction of complex soft tissue defects of the lateral and posterior cervical regions, side of the head, shoulder, and upper paravertebral and parascapular regions with minimal donor site morbidity